Molven O, Halse A, Grung B
Department of Cariology and Endodontics, School of Dentistry, University of Bergen, Norway.
J Endod. 1996 May;22(5):264-8. doi: 10.1016/s0099-2399(06)80146-9.
Twenty-four cases treated by periapical surgery--which 2 to 6 yr after surgery were classified radiographically as incomplete healings (scar tissue)--were further followed, extending the observation period to 8 to 12 yr. One case healed completely, 1 failed, and 22 were still recorded in the same healing group. All the 22 scar tissue cases were characterized by a reduction of the defect in bone. In 13 cases, continuous periodontal structures were seen and the defect thereby separated from the root. The findings support the conclusion that cases clearly showing features of incomplete healing (scar tissue) at the regular follow-up 1 yr after surgery can be regarded as successes. They need not be recorded for further systematic control. A general follow-up program for apicectomy cases is suggested.
对24例接受根尖手术的病例进行了进一步随访，这些病例在术后2至6年经影像学检查被归类为愈合不完全（瘢痕组织），将观察期延长至8至12年。1例完全愈合，1例失败，22例仍记录在同一愈合组。所有22例瘢痕组织病例的特点是骨缺损减少。13例可见连续的牙周结构，缺损由此与牙根分离。这些发现支持这样的结论，即在术后1年的常规随访中明显表现出愈合不完全（瘢痕组织）特征的病例可被视为成功病例。无需对其进行进一步的系统监测记录。建议制定根尖切除术病例的一般随访方案。
